Income and Expense Form (Apartments)

Income and Expense Form (Apartments)

Income and Expense Form: Apartments/Rental Properties

Town of Lexington - Assessor's Office
Fiscal Year*
Calendar Year*
Parcel ID*
Property Owner*
Property Location*
Class Code*
In lieu of filling out the tables in this form, you may also attach the relevant data here

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Rows	Apt #	Tenant Last Name	Number of Bedrooms	Number of Bathrooms	Heat Included?	Electricity Included?	Monthly Rent	Number of Months	Lease or "TAW"	Number of SQFT Living Area in Rental Units	Parking Space(s) Included?

Annual Rent (Row 1)
Annual Rent (Row 2)
Annual Rent (Row 3)
Annual Rent (Row 4)
Annual Rent (Row 5)
Annual Rent (Row 6)
Annual Rent (Row 7)
Annual Rent (Row 8)

Income Summary*

Rows	Total Potential Gross Income	Total Rent Concessions	Total Value of Vacancies	Total Value of Collection Loss	Total Parking Income	Total Other Income Sources

Total $$ Rent Collected (Actual)

Management & Administrative

Rows	Expenses Paid by Landlord	Expenses Paid by Tenant
Management Wages or Fees
Legal & Accounting Wages or Fees
Security Wages
Payroll Taxes
Group Insurance
Telephone
Advertising/Commissions
Other

Management & Administration Subtotal (Landlord)
Management & Administration Subtotal (Tenant)

Maintenance & Cleaning

Rows	Expenses Paid by Landlord	Expenses Paid by Tenant
Wages
Supplies
Maintenance and/or Janitorial Services
Grounds Keeping
Trash/Rubbish Removal
Snow Removal
Exterminator/Pest Control
Other

Maintenance & Cleaning Subtotal (Landlord)
Maintenance & Cleaning Subtotal (Tenant)

Repairs & Minor Building Renovations

Rows	Expenses Paid by Landlord	Expenses Paid by Tenant
Building Exterior
Building Interior
Plumbing
Electrical
Other

Repairs & Minor Building Renovations Subtotal (Landlord)
Repairs & Minor Building Renovations Subtotal (Tenant)

Utilities Expenses

Rows	Expenses Paid by Landlord	Expenses Paid by Tenant
Electricity
Heat from Natural Gas
Heat from Oil
Water
Sewer

Utilities Subtotal (Landlord)
Utilities Subtotal (Tenant)

Additions/Capital Improvements

Rows	Description	Expenses Paid by Landlord	Expenses Paid by Tenant
1
2
3
4

Additions/Capital Improvements Subtotal (Landlord)
Additions/Capital Improvements Subtotal (Tenant)

Other Expenses

Rows	Expenses Paid by Landlord	Expenses Paid by Tenant
Lexington Real Estate Taxes
Reserves held for Replacement
Apartments for Employees
Insurance Premium (for the Buliding)
Other

Other Expenses Subtotal (Landlord)
Other Expenses Subtotal (Tenant)
Comments

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Date*

MonthDayYear
Date
Phone Number*
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Email*
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